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FIREFIGHTER/EMT SUICIDE SCREENING

11/17/2022

Below is a self-screening for suicide ideations for firefighters/EMT. Please circle either Y= Yes, or N=No. When you have completed screening please review your score at the end of the screening.

Are you feeling like a burden to your family, friends, or Fire Company or EMS organization? Y/N
Do you feel the world would be a better place without you in it? Y/N
Have you started to isolate yourself from others in the firehouse or EMS location? Y/N At Home? Y/N
Have you found yourself turning to alcohol or other addictive behaviors to make yourself feel better? Y/N
Have you or someone close to you noticed that your sleeping patterns have changed? Y/N
Are you thinking, “What’s the use?” when going to the firehouse or responding on calls? Y/N
Do you find yourself thinking about or performing unnecessary risks while at a fire scene or on an emergency incident? Y/N
Have you found an increased or new interest in risky activities outside the firehouse/EMT organization such as: sky-diving, reckless motorcycle riding or purchasing guns? Y/N
Are you displaying unexplained angry emotions or have you been disciplined recently for anger towards other firefighters/EMTs? Officers? Or the Public within the last few months? Y/N (Any option will receive a circle of Yes)
Have you been told that “you have changed” by: Friends? Family? Fellow coworkers? Y/N (Any option will receive a circle of Yes)
Does your family have a history of a suicide? Y/N
Do you have a history of feeling depressed? Y/N
Do you have feelings of hopelessness? Y/N
Do you feel like killing yourself? Y/N
Have you created plans to kill yourself? Y/N
Have you recently attempted to kill yourself? Y/N

Scoring: Total the amount of (Yes) circled.
Score:__________
If you circled question 14, 15 or 16, SEEK HELP IMMEDIATELY by Dialing 911
or calling the National Suicide Prevention Lifeline 1-800-273-8255
or calling the Share the Load Program 1-888-731-3473
Once you have reached one of the above, call a trusted family member, friend, chaplain, or counselor.
Firefighter Behavioral Health Alliance (FBHA) recommends that if a person answers YES to at least three of these questions, it would be recommended that you contact a local Mental Health Care Professional that deals with firefighters/EMTs that suffer from suicidal ideations and depression. If you need assistance in finding a counselor in your area, contact FBHA for further information at 847-209-8208.
COURTESY OF FIREFIGHTER BEHAVIORAL HEALTH ALLIANCE

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